| NPI | 1730322694 |
|---|---|
| Former Name | LAUREN ANN RALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2008028913) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical (Licence: MO 2008028913) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-06-09 |